For those who aren't familiar with me (and I'm sure you are legion), I run the joint across Blogtown known as The Cheerful Oncologist, where I compose tasty tidbits of literary effluvia on topics both mundane and majestic in the world of medicine. I tend to favor a Weltanschauung similar to that espoused by the great American philosopher Elbert Hubbard, who said "Don't take life too seriously. ...

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The U.S Food and Drug Administration has just approved the oral dual-target agent sorafenib (Nexavar) for the treatment of patients with advanced renal cell carcinoma. This is good news since standard chemotherapy has not been effective against these tumors.

This pill is just the first of an avalanche of new treatments called "targeted therapy" that will be put into general use over the next few years. Other agents ...

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I hitchhiked to the office this morning in a van with four strangers. People are nervous, but helpful. It reminded me of the blackout of 2004, when my wife and I walked home across Central Park at night with a flashlight. (Like others, we didn't have much of a choice.) Then as now, the strangers we met were uneasy, but friendly.

I hope the good attitude lasts. The hospitals ...

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Thanks to Kevin for trusting us and letting us play on his blog while he is (hopefully) on vacation. With any luck, we wont trash the joint. It's hard to imagine how an oncologist, nephrologist, ER/hospitalist, psychiatrist, pathologist (in a former life I think Dr. Bottles was a pathologist), and obstetrician could get into any trouble....guess, we'll see.

I'm all in favor of umbilical cord blood banking ...

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Shingles Vaccine

"Merck & Co Inc. filed a Biologics License Application (BLA) with the FDA on April 25 for ZOSTAVAX to reduce the risk of shingles and postherpetic neuralgia, the persistent, often debilitating long-term nerve pain that is the most common complication of shingles; and to reduce the total burden of pain and discomfort caused by shingles", Merck stated in a press release.


DrTony

Thanks, Kevin, for the trust and recognition implicit in inviting me to guest blog here. Yours was one of the first medblogs I found and it is a great place to keep up.

Jury returns $640,000 medical malpractice verdict

It is hard to tell from this brief article what the details of the case were. On one hand, it is frustrating to see physicians sued when a known ...

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I will be away from blogging for the next little while. In my place, we have the Visiting Professor Series - an all-star collection of guest medical bloggers:

Craig Hildreth, M.D. aka The Cheerful Oncologist
DrTony
KidneyNotes
Red State Moron
shrinkette
Kent Bottles, M.D. from SoundPractice.net

I also invite you to keep up with the medical blogs via Medlogs.com and the ...

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Derek Lowe wonders if Celebrex has a future.

About one-third of teens would flunk an exercise treadmill test. That's sad.

Seeing more patients = striking a nerve. Apparently, many physicians didn't like the recent advice of a practice management consultant:

. . . His assertion that a doctor may miss the mark because he talks too much or is a daydreamer or perfectionist is also incredible. Besides treating my patients' immediate illnesses successfully, nothing gives me greater pleasure than to be part of their personal lives. Undoubtedly, ...

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Shotgun lawsuit: Sued for a stillbirth. The ER doc consulted with the patient's OB, and then is still sued for the stillbirth. Not sure what more he could have done - override the specialist's instructions?

"Black men are the only males that don't have a strong anti-obesity preference." Dr. Bennett gives his version of his anti-obesity lecture.

When more is less. "Immediately after the appointments, the doctors and parents were surveyed about what had been covered. A month later, the families were again asked what they recalled of the discussion.

In general, doctors and parents agreed on what had been talked about. But as the number of topics went up, the ability of parents to recall them went down. Trouble tended to appear when nine ...

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A centralized system to reduce orthopedic waiting times in Canada. "In Edmonton, Calgary and Red Deer, everyone with serious hip or knee pain was referred to a central assessment clinic. No patient waited more than 17 days after a referral from a GP.

Patients who didn't need a hip or knee replacement were immediately triaged out. Those who did were assigned a care manager (a registered nurse) who guided ...

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A Swiss hospital will allow assisted-suicides. "A spokesman for the Vaud University Hospital Centre (CHUV) confirmed reports that, from January, it would allow the Exit society to assist in the suicide of people already admitted to the hospital and who are no longer capable of going home."

Beware of cookies given to you by someone with a cold.

Medpundit hosts Grand Rounds this week. Come get the weekly best of the medical blogosphere.

The problems of a single-payer system. And a subsequent response to the article.

They're cutting reimbursement fees in Japan too.

Wave of the future? A clinic-hospital hybrid. "Like a hospital, it will have a surgery center, an emergency department, dining services and a gift shop. Physician offices and services such as imaging also will be part of the project.

But unlike a hospital, the Franklin facility won't have critical care operations such as intensive care units."